DR. JOHN W. REVELLO (NPI# 1710928056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710928056 |
| Entity Type | Individual |
| Full Name | DR. JOHN W. REVELLO |
| Credential | D.C. |
| Practice Address |
14406 John Humphrey Drive Orland Park IL 60462 |
| Mailing Address |
14406 John Humphrey Dr Orland Park IL 60462-2638 |
| Practice Telephone | 7083640638 |
| Practice Fax Number | 7083649805 |
| Mailing Telephone | 7083640638 |
| Mailing Fax Number | 7083649805 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| Street Address |
14406 JOHN HUMPHREY DRIVE |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395014 | Alexandros J. Georgiou | Chiropractor | 10750 W 143rd St Ste 50, Orland Park, IL 60462-1929 | 2020-01-23 |
| 1902451339 | Life Naturally LLC | Chiropractor | 9813 Treetop Dr, Orland Park, IL 60462-4605 | 2019-08-02 |
| 1144766882 | Orland Park Integrated Health,ltd. | Chiropractor | 9441 W 144th Pl Ste 200, Orland Park, IL 60462-2543 | 2017-01-18 |
| 1457721466 | Austin Schroeder | Chiropractor | 18090 Wolf Rd, Orland Park, IL 60467-5407 | 2015-10-02 |
| 1558739631 | Brianne Holmes | Chiropractor | 14242 Wittington Ct, Orland Park, IL 60462-2989 | 2015-09-08 |
| 1164890380 | Joel Lardi | Chiropractor | 9763 W 143rd St Ste D, Orland Park, IL 60462-2575 | 2015-09-03 |
| 1306248273 | Hiba Mizyed | Chiropractor | 9418 Huber Ct, Orland Park, IL 60467-5636 | 2014-09-22 |
| 1619379906 | Integrated Health Solutions LLC | Chiropractor | 10751 165th St Ste 100, Orland Park, IL 60467-8702 | 2014-09-18 |
| 1609206259 | Francis Puzon | Chiropractor | 11975 W 143rd St, Orland Park, IL 60467-7218 | 2013-11-18 |
| 1184060295 | Anthony Michael Ries | Chiropractor | 1400 Ravinia Pl, Orland Park, IL 60462 | 2013-05-15 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.